Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists interact with the platform and has led some to worry about its future. This article discusses the current changes at Twitter and what implications these may have for future health research and communication.

As part of the Advancing Science, Practice, Programming, and Policy in Research Translation for Children’s Environmental Health (ASP³IRE) center, machine learning, geographic information systems (GIS), and natural language processing to analyze more than 650 million posts related to children’s environmental health are being used. Using preliminary analyses as examples, this commentary discusses the potential opportunities, benefits, challenges, and limitations of children’s health social media analytics. Social media contains large volumes of contextually rich data that describe children’s health risks and needs, characteristics of homes and childcare locations important to environmental exposures, and parent and childcare provider perceptions, awareness of, and misconceptions about children’s environmental health. Twenty five million unique conversations mentioning children, with likes, views, and replies from more than 33 million X (formerly Twitter) users were identified. Many of these posts can be linked to traditional environmental and health data. However, social media analytics have several challenges and limitations. Challenges include a need for interdisciplinary collaborations, selectivity and sensitivity of analytical methods, the dynamic, evolving communication methods and platform preferences of social media users, and operational policies. Limitations include data availability, generalizability, and self-report bias. Social media analytics has significant potential to contribute to children’s environmental health research and translation.

The use of generative artificial intelligence (AI) chatbots, such as ChatGPT and YouChat, has increased enormously since their release in late 2022. Concerns have been raised over the potential of chatbots to facilitate cheating in education settings, including essay writing and exams. In addition, multiple publishers have updated their editorial policies to prohibit chatbot authorship on publications. This article highlights another potentially concerning issue; the strong propensity of chatbots in response to queries requesting medical and scientific information and its underlying references, to generate plausible looking but inaccurate responses, with the chatbots also generating nonexistent citations. As an example, a number of queries were generated and, using two popular chatbots, demonstrated that both generated inaccurate outputs. The authors thus urge extreme caution, because unwitting application of inconsistent and potentially inaccurate medical information could have adverse outcomes.

The paper aimed to provide a comprehensive overview of the use of digital health technologies in the assessment, treatment, and self-management of psychological and psychopathological factors associated with asthma. A collection of research articles and systematic reviews related to asthma, including topics such as outdoor air pollution, early life wheezing illnesses, atopic dermatitis, digital interventions for asthma self-management, psychiatric disorders and asthma, family influences on pediatric asthma, and the use of mobile health (mHealth) applications for asthma management, were analyzed. Eight selected studies were reviewed to assess the potential of digital health technologies in improving asthma psychological-related factors management and treatment outcomes. The reviewed studies suggest that electronic health (eHealth) interventions, mixed reality tools, mHealth technology-enhanced nurse-guided interventions, and smartphone applications integrating Bluetooth-enabled sensors for asthma inhalers can significantly improve symptom self-management, quality of life, and mental health outcomes, especially in children and adolescents with asthma (JMIR Pediatr Parent. 2019;2:e12427. doi: 10.2196/12427; Cochrane Database Syst Rev. 2018;8:CD012489. doi: 10.1002/14651858.CD012489.pub2; Int J Environ Res Public Health. 2020;17:7750. doi: 10.3390/ijerph17217750; J Med Internet Res. 2017;19:e113. doi: 10.2196/jmir.6994; J Med Internet Res. 2021;23:e25472. doi: 10.2196/25472; Ann Allergy Asthma Immunol. 2015;114:341–2.E2. doi: 10.1016/j.anai.2014.12.017; J Med Internet Res. 2022;24:e38030. doi: 10.2196/38030; Int J Qual Methods. 2021;20:16094069211008333. doi: 10.1177/16094069211008333). However, further research is needed to determine their effectiveness and feasibility in different populations and settings. Tailored interventions that address the specific needs and preferences of patients with asthma and associated psychological factors are crucial for ensuring sustained and equitable use of these technologies. The manuscript emphasizes the importance of addressing psychological factors in the management and treatment of asthma and call for continued research and development in this area.

X (formerly Twitter), a microblogging social media platform, is being used by scientists and researchers to disseminate their research findings and promote the visibility of their work to the public. Tweets can be posted with text messages, images, hyperlinks, or a combination of these features. Importantly, for the majority of users, the text must be limited to 280 characters. In this perspective, this study aimed to observe if adding an image is able to increase outreach for scientific communication on X. Therefore, the characteristics of tweets posted with the hashtag #SciComm (short for science communication) for a period of one year (28 May 2020 to 28 May 2021) were analyzed with the X analytics tool Symplur Signals. The conducted analysis revealed that when a science communication (#SciComm-containing) tweet is accompanied by an image added by the user, there is on average a 529% increase in the number of retweets, and adding a hyperlink is similarly effective in increasing the number of retweets. However, combining both an image and hyperlink in the same tweet did not yield an additive effect. Hence, for increased visibility, researchers may consider adding images or hyperlinks (e.g., to research publications or popular science articles) while communicating science to the public on X.

Digital technologies have garnered more attention in this epoch of public health emergencies like coronavirus disease 2019 (COVID-19) and monkeypox (mpox). Digital twin (DT) is the virtual cybernetic equivalent of a physical object (e.g., a device, a human, a community) used to better understand the complexity of the latter and predict, prevent, monitor, and optimize real-world outcomes. The possible use cases of DT systems in public health ranging from mass vaccination planning to understanding disease transmission patterns have been discussed. Despite potential applications in healthcare, several economic, social, and ethical challenges might hinder the universal implementation of DT. Nevertheless, devising appropriate policies, reinforcing good governance, and launching multinational collaborative efforts ascertain early espousal of DT technology.